KITSAP COUNTY DISTRICT COURT, STATE OF WASHINGTON NORTH SOUTH Mailing Address: 614 Division Street, MS-25 Port Orchard, WA 98366 (360) 337-7109 STATE OF WASHINGTON, NO. Plaintiff, vs. MOTION / REQUEST OF DEFENDANT FOR DEFERRED PROSECUTION AND ORDER PENDING ACCEPTANCE FOR DEFERRED PROSECUTION __________________________________________, Defendant. THIS MATTER having come on for hearing before the undersigned Judge of the above-entitled court upon the defendant’s oral notice of his/her motion and request for acceptance into a deferred prosecution, and the court having considered the records and files herein and being fully advised in the premises: ORDERED, EFFECTIVE IMMEDIATELY: 1. The defendant shall attend a minimum of two (2) 12-step self help group meetings (AA, NA, etc.) per week and provide written proof of such attendance to the court at each court hearing; 2. The defendant shall make an appointment to meet with Probation (360-337-7109), keep all Probation appointments, and comply with all court orders; 3. The defendant shall abstain from consumption of alcohol or any other drug not prescribed by a physician; 4. The defendant shall not drive without a valid license, proof of insurance and ignition interlock for personal use for employment/commercial use. ORDERED, THAT BEFORE THE NEXT COURT HEARING, THE DEFENDANT SHALL FILE PROOF OF THE FOLLOWING: 1. The defendant shall pay $150 administrative cost; 2. The defendant shall attend a DUI Victim’s Panel; 3. The defendant shall file a Petition for Deferred Prosecution and submit all documentation to Probation at least seven days prior to the next court date; 4. The defendant shall complete evaluations as follows: Other ________________________________ chemical dependency mental health evaluation YOUR FAILURE TO COMPLETELY SATISFY THE ABOVE REQUIREMENTS MAY RESULT IN A DENIAL OF YOUR PETITION FOR DEFERRED PROSECUTION DOL STAY REQUESTED: The defendant has a .08 breath test (or higher). Therefore, the Clerk is directed to furnish a copy of the extension of Temporary Driver’s License/Administrative Stay to the Washington State Department of Licensing to request a stay of the administrative license suspension. WARNING: There is no stay until and if ordered by DOL. DONE IN OPEN COURT this _______ day of ______________________________ 20_______. __________________________________________ DEFENDANT _________________________________________ ATTORNEY FOR DEFENDANT ___________________________________ JUDGE __________________________________________ Revised 02/27/08 PROSECUTOR American LegalNet, Inc. www.FormsWorkflow.com